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Actively Recruiting

Phase 3
Age: 4Years - 17Years
All Genders
ID07250802

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Zasocitinib in Children and Teenagers Aged 4 to Under 18 with Moderate-to-Severe Plaque Psoriasis

Led by Takeda · Updated on 2026-05-08

110

Participants Needed

40

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating how well the medicine zasocitinib works, how safe it is, and how children and teenagers aged 4 to under 18 with moderate-to-severe plaque psoriasis respond to it. The study is a Phase 3 trial that includes two parts Part A with both children and teenagers, and Part B with only children. Initially, only teenagers who meet the study rules can participate, and children may join once enough information from other studies is available. Participants in Part A will be randomly assigned to receive either zasocitinib or a placebo for the first 16 weeks, after which all participants will receive zasocitinib for the remainder of the study. Participants in Part B will receive zasocitinib throughout the study. Dosages are given orally once daily, with doses adjusted by weight for children aged 4 to under 12 years, and a fixed dose for teenagers aged 12 to under 18 years. The study includes a double-blind placebo-controlled period followed by an open-label period. Participants will be involved for up to 4 years and 2 months, including up to 35 days for screening, 208 weeks of treatment, and a 4-week safety follow-up. During this time, participants will visit the study site multiple times for assessments, including skin evaluations, quality of life questionnaires, and blood tests to monitor drug levels and safety. Researchers will measure how many participants achieve clear or almost clear skin, improvements in psoriasis severity scores, quality of life improvements, and monitor the medicines concentration in the body.

CONDITIONS

Brief Title

A Long-Term Study of Zasocitinib in Children and Teenagers With Plaque Psoriasis

Who Can Participate

Age: 4Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of chronic plaque psoriasis for at least 6 months before screening
  • Stable plaque psoriasis without significant flare for 6 months before screening
  • Moderate-to-severe plaque psoriasis with PASI score of 12 or higher and sPGA score of 3 or higher at screening and Day 1
  • Plaque psoriasis covering 10% or more of body surface area at screening and Day 1
  • Candidate for phototherapy or systemic therapy
  • For Part A Cohort 1: Aged 12 to under 18 years, male or female
  • For Part A Cohort 2 and Part B: Aged 4 to under 12 years, male or female
  • For Part A Cohort 1: Weight of 40 kg or more at screening
Not Eligible

You will not qualify if you...

  • Evidence of nonplaque psoriasis types such as erythrodermic, pustular, predominantly guttate, predominantly inverse, or drug-induced psoriasis, except limited inverse psoriasis
  • Need for systemic treatment other than NSAIDs for immune-related disease during the trial
  • Skin conditions that interfere with trial assessments
  • History or signs of active or latent tuberculosis infection
  • Active herpes virus infections or history of serious herpetic infection
  • History of chronic or recurrent bacterial disease
  • History of opportunistic infections like Pneumocystis jirovecii pneumonia or histoplasmosis
  • Any clinically significant unstable medical condition or abnormal test results posing risk or interfering with trial
  • Previous exposure to zasocitinib or other TYK2 inhibitors unless confirmed placebo
  • Not up to date on all required vaccinations according to pediatric guidelines
  • Other protocol-defined inclusion or exclusion criteria may apply

Research Team

T

Takeda Contact

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